Individual
BRYAN DUTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, CWOCN
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-2048
Mailing address
3009 DUNKIRK DR, RALEIGH, NC 27613-4384
(919) 333-4867
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
275140
NC
163WW0000X
Wound Care Registered Nurse
Primary
275140
NC
163WX1500X
Ostomy Care Registered Nurse
275140
NC
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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